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General NPI Number Information
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NPI Number | 1275196107
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Entity Type | Individual
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Provider Name | GAGE ANTHONY ALVERNAZ DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2521 STOCKTON BLVD FL 3
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City | SACRAMENTO
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State | CA
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Zip | 95817-2207
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Country | US
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Telephone | 800-823-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 JACINTO AVE UNIT 11205
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City | SACRAMENTO
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State | CA
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Zip | 95823-7564
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Country | US
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Telephone | 209-642-5275
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 20A23781
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License Number State | CA
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